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Tag : appeals

AHA Medicare appeals reform recommendations miss the mark

AHA Medicare appeals reform recommendations miss the mark Last week, the American Hospital Association (AHA) filed a brief with the federal court in response to U.S. District Judge James Boasberg’s request for ideas to address the current Medicare appeals backlog. Instead of making substantive administrative recommendations to improve the Medicare appeals process, the AHA makes suggestions that are not only redundant based on existing Centers for Medicare and Medicaid Services (CMS) rules. It also clearly demonstrate that the AHA is more interested […]

AHA recommendations for Medicare appeals ignore existing integrity program reforms

AHA recommendations for Medicare appeals ignore existing integrity program reforms Washington, D.C. (July 10, 2018) – Last week, the American Hospital Association (AHA) filed a brief with the federal court in response to U.S. District Judge James Boasberg’s request for ideas regarding how to address the Medicare appeals backlog. Instead of making substantive administrative recommendations to improve the Medicare appeals process, the AHA makes suggestions that are not only redundant based on existing CMS rules, they also clearly demonstrate that […]